Companion Care Assessment Checklist

January 2024 · Companion Care | Family Support | Assessment Checklist

Use this checklist to decide whether companion care would improve your loved one's daily routine, social connection, and overall safety. Mark the statements that apply and review the summary at the end.

How to use this checklist

Read each question below. If more than a few statements are true for your loved one, companion care may be a helpful next step.

Companion care assessment questions

Social connection and emotional support

• Does your loved one feel lonely or isolated?
• Do they have fewer visits from friends or family than they used to?
• Have they lost interest in hobbies or social activities?
• Would they benefit from regular conversation and companionship?

Daily routine and engagement

• Do they struggle to stay motivated for daily routines?
• Would a companion help them remain engaged in activities they enjoy?
• Do they need encouragement for walking, outings, or gentle hobbies?
• Would structured social time support their mental well-being?

Safety and monitoring

• Are there times when they are alone for long periods?
• Do you worry about their safety at home without someone nearby?
• Could a companion help spot small changes before they become bigger problems?
• Would having a regular check-in reduce your anxiety about their well-being?

Practical support needs

• Would they benefit from help with light household tasks or errands?
• Do they need assistance with medication reminders or appointments?
• Is transportation to appointments or activities becoming harder?
• Would meal planning, grocery runs, or light meal prep ease daily life?

Family caregiver support

• Are family members feeling overwhelmed or burned out?
• Is it hard to coordinate visits and support consistently?
• Would a companion provide relief while still preserving family involvement?
• Do you want a trusted partner who can share updates and support plans?

What companion care provides

Companion care is designed to meet emotional, social, and practical needs. It is not medical care, but it does offer:

• meaningful conversation and shared activities
• gentle accompaniment to appointments and outings
• light practical support with errands, meals, and home routines
• medication reminders and consistent check-ins
• reassurance for families who cannot be there every day

Next steps

If the checklist shows that companion care would help, the next step is to talk with a care coordinator and arrange a personalized support plan.

Companion care can be an excellent addition when families want to preserve independence while boosting safety, connection, and daily rhythm.